title: [Complications of silastic implants used in orbital repair].
abstract: Several questions concerning the material to be used for surgical repair of fractures of the orbit are still under debate. Surgeons may choose between autologous or heterologous grafts or different biomaterials. We conducted a retrospective analysis of 137 patients treated in our unit for fractures of the floor of the orbit over the last 20 years who received a silastic implant. After 20 years, the rate of complications requiring removal of the implant was 13.8%. Complications observed were dacryocystitis, implant migration to the skin and the maxillary sinus, skin fistula, persistent diplopia, communication between the orbit and the sinus, periorbit cellulitis.
authors.affiliation: Service de Stomatologie et Chirurgie Maxillo-faciale, Centre hospitalier Intercommunal, Villeneuve-Saint-Georges, France.
authors.forename: A
authors.initials: A
authors.lastname: Laxenaire
authors.forename: J
authors.initials: J
authors.lastname: Lévy
authors.forename: P
authors.initials: P
authors.lastname: Blanchard
authors.forename: J C
authors.initials: JC
authors.lastname: Lerondeau
authors.forename: F
authors.initials: F
authors.lastname: Tesnier
authors.forename: P
authors.initials: P
authors.lastname: Scheffer
mesh_terms: D001672:Biocompatible Materials / Q000009:adverse effects; D016025:Bone Transplantation; D002481:Cellulitis / Q000209:etiology; D017577:Cutaneous Fistula / Q000209:etiology; D003607:Dacryocystitis / Q000209:etiology; D004172:Diplopia / Q000209:etiology; D005402:Fistula / Q000209:etiology; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000209:etiology; D006801:Humans; D008443:Maxillary Sinus / Q000473:pathology; D009916:Orbital Diseases / Q000209:etiology; D009917:Orbital Fractures / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000209:etiology; D019736:Prostheses and Implants / Q000009:adverse effects*; D011475:Prosthesis Failure; D012189:Retrospective Studies; D012826:Silicone Elastomers / Q000009:adverse effects*; D012867:Skin / Q000473:pathology; D014182:Transplantation, Autologous; D014183:Transplantation, Heterologous
chemical_list: D001672:Biocompatible Materials; D012826:Silicone Elastomers
vernacular_title: Complications des implants de silastic utilisés en réparation orbitaire.